Ask a Patch Pro: Lyme Disease
Russ Jundt, of the Twin Cities Mosquito Squad, and Monique Dubos, president of the Minnesota Lyme Association, are here to answer your Lyme disease questions.
Experts say record warm temperatures and a decrease in the food supply for deer ticks will mean a surge in Lyme disease cases this year.
In 2010, more than 30,000 Americans contracted Lyme disease, an illness than can have lifelong effects including arthritis, fatigue and neurological defects.
The Centers for Disease Control estimates that since the late 1990s there have been more than 250,000 cases of Lyme disease nationwide—more than 90 percent of those were in 12 states, including Minnesota and Wisconsin.
May is Lyme Disease Awareness Month, and the country’s largest tick-elimination firm, Mosquito Squad, has offered up a list of tips to help homeowners.
Those lists can be found here.
Russ Jundt, of the Twin Cities Mosquito Squad, will be answering your questions about Lyme disease through May 17.
Joining Jundt is Monique Dubos, president and communications coordinator of Minnesota Lyme Association, a resource for people affected by Lyme Disease. Dubos is not a doctor, but her organization has worked as an advocate for people with Lyme disease and other tick-borne illness since 2006.
Both of our guests will be checking back periodically to address your questions.
So post your questions in the comment section below and check back later to see the answer.
Shelley
7:47 am on Thursday, May 10, 2012
My daughter has a bright red mark on the back of her neck. It is in an area that I should have seen a tick if it had been attached for 24 hours, but could she get Lyme's without it being attached that long?
Monique Dubos
9:35 am on Thursday, May 10, 2012
Hi Shelley,
The Minnesota Lyme Association medical advisor, Dr. Betty Maloney, has urged anyone who is bitten by a tick NOT to GUESS at attachment time. Because all ticks in Minnesota have the potential to spread disease, if the tick was attached, Dr. Maloney recommends that the person see their doctor immediately and request prophylaxis antibiotics. If it was a black-legged tick, go to mnlyme.com and click on the big tick on the patient page. That should open a file that you can print to take with you to your doctor. Read it before you go so you can discuss it with some confidence. The doctor will need to know the type of tick. You can link to photos of ticks from the MLA website. Go to Resources > Tick Info & Photos
Scott Fagerstrom
8:47 am on Thursday, May 10, 2012
I've found ticks on my dog before; presuming it happens again this summer, what's the best way to kill it?
Monique Dubos
9:38 am on Thursday, May 10, 2012
Veterinarians recommend treating dogs with a tick control, such as Frontline. You can find a lot of information on pets, ticks and Lyme disease on the website of the Minnesota Lyme Association. Go to Patients > Pets
Mike Schoemer
9:08 am on Thursday, May 10, 2012
Is it true that long grasses are worse than wooded areas?
Monique Dubos
9:47 am on Thursday, May 10, 2012
According to people who do tick surveillance (such as the MN Dept of Health, The Metropolitan Mosquito Control District, and the MN DNR), they each have the potential to harbor ticks. And I've read a few articles recently that suggest that ticks are becoming adaptable to new environments, such as this one I recently posted to the Minnesota Lyme Association Facebook group http://nres.illinois.edu/News_LymeDisease.
Sarah
9:34 am on Thursday, May 10, 2012
I've always wondered, why is it that there is a Lyme disease vaccine for dogs but not for people?
Russ Jundt
11:19 am on Thursday, May 10, 2012
That is a great question - one that many of us have. GlaxoSmithKline developed a vaccine in the early 2000s but it was pulled due to some difficulties in its trials. To date, no human vaccines for Lyme Disease are available. Until then, it is imperative that we protect ourselves as best as possible.
Moquito Squad uses an integrated approach to reducing tick activity in your outdoor living space. First, a synthetic permethrin is applied to the foliage in the yard to eliminate the adult ticks. Second, small Tick Tubes (cotton, treated with a tick toxicant, encapusulted in a toilet paper roll size tube) are placed in a grid pattern where field mice are active to eliminate the larval ticks.
Monique Dubos
11:32 am on Thursday, May 10, 2012
There was a vaccine for people some years ago, called Lymerix, but the manufacturer pulled it. Like Lyme disease, the issues surrounding the vaccine were complex and political. If you are interested in the history, Lyme Disease Association has some more details.
Danielle Cabot
10:03 am on Thursday, May 10, 2012
Thanks to Monique Dubos, president of the Minnesota Lyme Association, for joining in on the conversation. MLA is a nonprofit that helps patients be their own advocates through resources, information, outreach and support. Welcome!
Jeff Roberts
10:16 am on Thursday, May 10, 2012
I've heard this year is particularly bad for ticks, especially at the dog parks. First, do you agree? Second, what makes one year worse than the next?
Monique Dubos
10:58 am on Thursday, May 10, 2012
I've seen dozens of articles about how this will be a bad season for ticks. You can Google and find them easily, including the theories behind it. That's relative of course; whether there are 100 ticks or 1, if you get bitten, you are at risk of contracting Lyme and/or co-infections. As for dog parks, it probably depends on what type of habitat it's in. If it's a wooded park, like the one along the Mississippi River, it's probably loaded with ticks of all sorts. The dog park by my house, which has a base of wood chips, is safer. But regardless, my dog gets a dose of Frontline each month starting in March. My cat does too, BTW, just in case.
Russ Jundt
11:07 am on Thursday, May 10, 2012
Hello Jeff. I am not certain if ticks will be worse at dog parks, relative to other areas, but that may very well be true do to a larger number of dogs visiting the parks. Ticks choose a variety of animals for their blood meal - the type of host animal depends upon the stage of the tick. Adult ticks prefer larger mammels, such as deer and dogs, while immature ticks prefer small rodents, typically. Which leads to your second question. What makes one year worse than the next? Due to the mild winter, many of the rodents were able to overwinter quite easily. Many deer tick get their first blood meal from field mice and other small rodents. The greater the rodent population, the great the propensity for the deer tick to find its blood meal. Additionally, deer tick overwinter and remain active, especially in temperatures above 40 degrees. Last winter's temps certainly made it easier for the ticks to survive and thrive.
Clare Kennedy
10:46 am on Thursday, May 10, 2012
What's the best way to avoid ticks in the first place—apart from never leaving the house? I'm hoping to do some camping this summer and I want to be safe.
Russ Jundt
11:12 am on Thursday, May 10, 2012
The MMCD (mmcd.org) lists a few tips:
Some simple precautions can reduce your risk:
1. When hiking in wooded areas, stick to the center of the trail.
2. Wear light colored clothes so ticks are more visible
3. Use insect repellent. Be sure to follow label instructions
4. After being in the woods, check yourself and your kids thoroughly for ticks
5. Remove ticks immediately (ticks must remain attached at least 24 hours to transmit Lyme disease bacteria).
6. Save brush-cutting projects for the month of August.
Mosquito Squad also has a pretty good section on prevention: http://www.mosquitosquad.com/bugs/Ticks.html
Apart from that, I personally use a product developed by a local chemist (www.buggspray.com) to treat my clothing when I am hiking, etc. It is intended only for use on clothing - not humans or animals - and works quite well.
Monique Dubos
11:15 am on Thursday, May 10, 2012
I chuckled a little at your comment about never leaving the house - I just had an invitation to go camping, which I adamantly declined! But since you asked, If I did decided to accept the offer, I would spray all my camping gear (maybe not the cooking stuff), clothing (shoes, socks, hats, scarves, underwear) with permethrin a couple days before the trip. A Minnesota company, BuggSpray, makes such a product. They also make a DEET product for your skin (which I would use as well) and a yard spray. You can read about their products on their website: BuggSpray.com. At the end of each day I'd take a hot shower, but then, even when I was camping, I never strayed too far from civilization. There's a printable flier (entitled Protect Yourself) with recommendations for avoiding tick bites at mnlyme.com. Go to Resources > Prevention
Clare Kennedy
11:33 am on Thursday, May 10, 2012
Thanks Monique and Russ. That's very helpful.
Shelley
12:19 pm on Thursday, May 10, 2012
Is permethrin dangerous for children and pets?
Russ Jundt
9:04 pm on Thursday, May 10, 2012
Thanks for a great question. As parents and pet owners, we all struggle with the balance of the use of a pesticide and the dangers of the targeted pest (in this case, the deer tick and Lyme Disease). On the professional side, as a licensed commercial pesticide applicator, we are prohibited from referring to any pesticide as "safe". That said, keep in mind that any insecticide's safety depends on how it is used. Insecticides that are registered/approved by the EPA are considered to present "an acceptable level of risk" when used as directed. Permethrins generally fall under the category of "Caution" for precautionary statements on the insecticide label - the least toxic of three categories. "Warning" and "Danger" indicate that the pesticide classified as such present a far greater danger than "Caution". In sum, use permethrin as instructed on the label to aid in the fight against ticks and the inherent danger that they present to you, your family and pets. Be well.
Jane Neumiller-Bustad
12:50 pm on Thursday, May 10, 2012
We live in a grassy, semi-wooded area west of Stillwater and I'm convinced based on our experiences that much of what is taken as "conventional wisdom" on where ticks are found is wrong. We find them in long grass, short grass, the garden, on lawn chairs, concrete slabs (patio), metal posts, wooden railings, etc., etc., etc. Yes, they might travel there from the tall grass or woods, but they can be found *anywhere* on our property, including in the house. They don't always hitch a ride on the humans or animals, either. Luckily, they seem to be "wood" ticks, so they are generally big enough to see relatively easily. Creepy pests! We've been using diatomacious earth in spots where our pets congregate, and that does seem to be working a bit. It's not an instant killer, but I notice less overall ticks in the areas where it's been spread.
Russ Jundt
9:16 pm on Thursday, May 10, 2012
Jane.... your comments remind me of a weird phenomenom that I encountered while attending St. John's University in the late 80's. Surrounded by a 100 acres of beautiful woodlands, I only got ticks on me while laying on the beach of Lake Sag.... on the hot sand. It never made sense to me. With regards to your infestation of ticks in your outdoor living space I can't help but put on my commercial applicator's hat and tell you to hire a company to help eradicate the creepy crawlers. Additionally, use Frontline or its equivalent to protect the dogs. Many people resort to using repellents, which is greatly recommended, but while in my home environment I would rather spray the foliage than my family, pets or me. :0)
Mike Schoemer
1:19 pm on Thursday, May 10, 2012
Are there any "natural" tick repellants, for those who eschew the pesticide route?
Russ Jundt
9:26 pm on Thursday, May 10, 2012
Mosquito Squad has tested many products, including "all natural" solutions. We have settled on one that has relatively better results than others tested. It uses garlic juice as its active ingredient. Just be ready to crave an Italian meal after applying it. :0)
Betsy Gasior
2:39 pm on Thursday, May 10, 2012
Mike, I know people that have gotten good results with peppermint oil. It is important to note, however, that if one is planning on camping where bears etc. are nearby, no food or food-scents should be used in a tent...and a shower without soap to rinse the peppermint oil off before bed is a must.
Jane Neumiller-Bustad
4:45 pm on Thursday, May 10, 2012
Mike, give the diatomacious earth a try (if you have some time to let it work). You can sprinkle or spread it - and as I understand it, not toxic to pets or people at all. They advise you not breathe the dust, however. It's getting hard to find since the prevailing wisdom is that it helps with bed bug control (yuck!). I'm a little leery of using it too widely, since I don't want to affect frogs, toads or beneficial insects. But - in the dog run and kennel, seems to really help.
Freya R
3:59 pm on Friday, May 11, 2012
Do you have to send every embedded tick in for testing? Or is it okay to assume that wood ticks are (relatively) disease free?
Russ Jundt
9:47 am on Saturday, May 12, 2012
Freya: The wood tick (American Dog Tick) in our area does not carry the bacterium (Borrelia burgorferi) that causes Lyme Disease, but it can rarely carry another tick borne infection called Rocky Mountain Spotted Fever that can be serious or even fatal. In July of 2009 a small child from Dakota County died as a result of a tick bite from an American Dog Tick. Less than 2000 cases of that disease are reported each year nation wide. So in most instances it is not necessary to send in the American Dog Ticks for testing.
hwy12goph
6:03 pm on Friday, May 11, 2012
Does the Elimitick clothing work to repel ticks?
Thanks for the information, Lyme disease is a terrible thing.
Russ Jundt
9:56 am on Saturday, May 12, 2012
I have not personally used or tested Elimitick clothing, but my understanding is that it works quite well. It claims to last for up to 70 washings which is very impressive. I have chosen to treat my existing clothing with Buggspray (see above) brand permethrin. Keep in mind that with whatever the choice do not assume that the efficacy will be 100%. Always check for ticks. Be well.